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32 Having said that, There may be enormous variability from the sensitivity of assays, and that is under no circumstances reflected during the values claimed for the varied assays. The appropriate cut-off value for each assay is exclusive and cannot be compared with every other.33,34 These differences are due in part to the heterogeneity in the antibodies and matrix components with the assays.9,35 Also they are because of the actuality that there are a variety of fragments of troponin that circulate, as well as antibodies used in the varied assays detect these fragments in different ways.36

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[15, 16] In clients with acute exacerbation of congestive heart failure as a result of etiologies even other than MI, troponin stages may be elevated due to the incapability of the weak heart to keep up appropriate coronary perfusion.

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In people with acute coronary ischemia and elevated troponin ranges, myocardial infarction must be diagnosed; therapy must be guided by the elevated troponin concentrations.